Doctors treat 4-year-old with giant bumps on eyelids

September 10, 2019

A four-year-old girl with bubble-shaped bumps on her eyelids, which was hindering her vision, was successfully treated at a city hospital using a minimally invasive technique recently.

Medically termed as ‘giant molluscums contagiosum’, these raised bumps are infectious. A team of doctors successfully treated her using the intralesional radiofrequency (high frequency electro surgery) procedure at Columbia Asia Hospital in Kharadi on August 10.

Usually, the bumps in molluscum contagiosum are 2-5mm in size. However, in the girl’s case, they were quite big — 3cmx2cm in size. “The surgeons were faced with the challenge of avoiding any cosmetic disfigurement and injury to the eyes, alongside reducing the cost of treatment,” consultant dermatosurgeon Kusumika Kanak told TOI.

"Viral and contagious skin infections like this spread rapidly and to contain them, especially among children, can be a task. In the gril’s case, however, we treated several of giant molluscum through a novel procedure that is both effective and less costly," the dermatosurgeon said.

Kanak said, "Giant molluscum is seen in patients who are immunocompromised. But it is extremely rare to see it in a normal and healthy child like the girl."

The main challenge in this case was the magnitude of the area affected. "It was on both upper and lower eyelids," Kanak said.

On the difference between these skin bumps and rashes seen in measles, Kanak said, "Molluscum contagiosum forms a colony of virus on the skin, whereas measles and rubella have rashes, similar to those caused by prickly heat. The molluscum does not contain fluid. The virus colony has a thick white appearance and is contagious, thus, we used the radiofrequency probe in the centre of the lesion first to disinfect the lesion and then debulked it to prevent the spread of the infection."

"Laser and other modalities would have been expensive. Since traditional means are required to needle the molluscums, which was difficult in this case considering the size, we planned a newer modality of treatment — intralesional radiofrequency — and performed it under general anaesthesia ," Kanak said.

"The intralesional radiofrequency is a new modality of treatment but proves to be an effective method. Large keloids, lymphangioma circumscriptum , sebaceous adenoma and many more can be treated by intralesional radiofrequency," she said.

The paediatricians and ophthalmologist took care of the girl pre- and post-operatively.

"The girl is doing well now. The bumps are gone and there is no disfigurement. In view of our financial constraints, doctors who treated her waived their fees. It was a kind gesture on their part," the girl’s parents said.